Modifiable determinants of attitude towards dengue vaccination among healthy inhabitants of Aceh, Indonesia: Findings from a community-based survey

Harapan, Harapan and Anwar, Samsul and Bustaman, Aslam and Radiansyah, Arsil and Angraini, Pradiba and Fasli, Riny and Salwiyadi, Salwiyadi and Bastian, Reza Akbar and Oktiviyari, Ade and Akmal, Imaduddin and Iqbalamin, Muhammad and Adil, Jamalul and Henrizal, Fenni and Darmayanti, Darmayanti and Pratama, Rovy and Fajar, Jhony Karunia and Setiawan, Abdul Malik and Dhimal, Mandira Lamichhane and Kuch, Ulrich and Groneberg, David Alexander and Sasmono, R. Tedjo and Dhimal, Meghnath and Mueller, Ruth (2016) Modifiable determinants of attitude towards dengue vaccination among healthy inhabitants of Aceh, Indonesia: Findings from a community-based survey. Asian Pacific Journal of Tropical Medicine, 9 (11). pp. 1115-1122. ISSN 19957645

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Full text available at: http://doi.org/10.1016/j.apjtm.2016.07.036

Abstract

Objective To explore and understand the attitude towards dengue vaccination and its modifiable determinants among inhabitants of Aceh (northern Sumatra Island, Indonesia), the region that was most severely affected by the earthquake and tsunami of 26 December 2004. Methods A community-based, cross-sectional study was conducted among 535 healthy inhabitants in nine regencies (Kabupaten or Kotamadya) of Aceh that were selected randomly from November 2014 to March 2015. A set of validated, pre-tested, structured questionnaires was used to guide the interviews. The questionnaires covered a range of explanatory variables and one outcome variable (attitude to dengue vaccination). Multi-step logistic regression analysis and Spearman's rank correlation were used to test the role of explanatory variables for the outcome variable. Results More than 70% of the participants had a poor attitude towards dengue vaccination. Modifiable determinants associated with poor attitude to dengue vaccination were low education level, working as farmers and traditional market traders, low socioeconomic status and poor knowledge, attitude and practice regarding dengue fever (P < 0.05). The KAP domain scores were correlated strongly with attitude to dengue vaccination, rs = 0.25, rs = 0.67 and rs = 0.20, respectively (P < 0.001). Multivariate analysis found that independent predictors associated with attitude towards dengue vaccination among study participants were only sex and attitude towards dengue fever (P < 0.001). Conclusions This study reveals that low KAP regarding dengue fever, low education level and low socioeconomic status are associated with a poor attitude towards dengue vaccination. Therefore, inhabitants of suburbs who are working as farmers or traditional market traders with low socioeconomic status are the most appropriate target group for a dengue vaccine introduction program.

Item Type: Journal Article
Keywords: Attitude towards vaccination; Dengue; Dengue fever; Dengue vaccine; Indonesia; Vaccine introduction program; dengue vaccine, adolescent; adult; aged; agricultural worker; Article; attitude to health; controlled study; cross-sectional study; dengue; educational status; female; human; Indonesia; male; priority journal; social status; structured questionnaire; vaccination
Divisions: Faculty of Medical and Health Sciences > Department of Medical Education
Depositing User: Dian Anesti
Date Deposited: 28 May 2018 02:33

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